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Methadone Treatment in Jail

NCJ Number
195435
Journal
American Jails Volume: 14 Issue: 2 Dated: May/June 2000 Pages: 9-12
Author(s)
Mark Parrino
Editor(s)
Ken Kerle Ph.D.
Date Published
2000
Length
4 pages
Annotation
The article discusses the use of methadone as a heroin addiction treatment in a correctional setting.
Abstract
The author explores the use of methadone maintenance for inmates with heroin addiction through a case study of the Key Extended Entry Program (KEEP) at New York City's Rikers Island. The KEEP program has been in operation at Rikers Island since 1987 and was designed as both an addiction treatment and a correctional HIV intervention. KEEP typically serves 800 inmates at a time, 400 in active methadone pharmacotherapy and 400 on supervised withdrawal schedules. The program serves both male and female inmates, including pregnant female inmates and inmates who are accepted into the program are diagnosed as opiate dependent by medical staff and are usually charged with a misdemeanor or low-grade felony. The components and costs of a methadone maintenance program are presented along with information regarding the costs of heroin addiction. Advantages of methadone treatment including crime reduction and HIV prevention are discussed. The author asserts that KEEP participants have a reduced recidivism rate and makes heroin dependent inmates more manageable. He suggests that further study of the Rikers Island model is warranted. 11 notes